ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016
Evaluation of Achilles and patellar tendinopathy with greyscale ultrasound and colour Doppler: using a four-grade scale.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04651985 (Effects of Eccentric Strengthening Exercises in Adults With an Achilles Tendinopathy), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of Eccentric Strengthening Exercises in Adults With an Achilles Tendinopathy: Predictive Validity and Responsiveness of Quantitative Musculoskeletal Ultrasound Measures
Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Is Platelet-rich Plasma Injection Effective for Chronic Achilles Tendinopathy? A Meta-analysis.Clinical orthopaedics and related research · 2018Pooled it
- Effectiveness of ultrasound guided dry needling in management of jumper's knee: a randomized controlled trial.Scientific reports · 2023Trial
- Utility of Ultrasonography in Assessing the Effectiveness of Extracorporeal Shock Wave Therapy in Insertional Achilles Tendinopathy.BioMed research international · 2016Trial
- Effects of Adding Ultrasound-Guided Percutaneous Neuromodulation to a Percutaneous Needle Electrolysis and Eccentric Exercise Intervention in Patellar Tendinopathy: A Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2026Article
- Biomimetic "Tendon Band-Aid" regulates inflammatory microenvironment and tenogenic differentiation for tendinopathy regeneration.Journal of nanobiotechnology · 2026Article
- Return to sport assessment following isolated anterior cruciate ligament reconstruction - 82 consecutive cases.Frontiers in sports and active living · 2026Article
- Transcatheter Arterial Embolization of Abnormal Neovessels for Patellar Tendinopathy: A Safety Evaluation: A Proof-of-Concept Study.Orthopaedic journal of sports medicine · 2025Article
- Ultrasound tissue characterization and function of Achilles tendon in psoriatic arthritis patients: a cross-sectional study.European journal of physical and rehabilitation medicine · 2025Article
- Short-term Effects of Pulsed Electromagnetic Field Therapy for Achilles Tendinopathy: A Randomized Controlled Trial.Orthopaedic journal of sports medicine · 2024Article
- Platelet Rich Plasma Therapy in Achilles and Patellar Tendinopathies: Outcomes in Subjects with Diabetes (A Retrospective Case-Control Study).Journal of clinical medicine · 2024Article
- A New Quantitative Tool for the Ultrasonographic Assessment of Tendons: A Reliability and Validity Study on the Patellar Tendon.Diagnostics (Basel, Switzerland) · 2024Article
- Article
- The Distal Free Achilles Tendon Is Longer in People with Tendinopathy than in Controls: A Retrospective Case-Control Study.Translational sports medicine · 2022Article
- An Isometric and Functionally Based 4-Stage Progressive Loading Program in Achilles Tendinopathy: A 12-Month Pilot Study.Translational sports medicine · 2022Article
- Oxidative Stress and Abnormal Tendon Sonographic Features in Elite Soccer Players (A Pilot Study).Revista brasileira de ortopedia · 2021Article
- To What Extent Do Musculoskeletal Ultrasound Biomarkers Relate to Pain, Flexibility, Strength, and Function in Individuals With Chronic Symptomatic Achilles Tendinopathy?Frontiers in rehabilitation sciences · 2021Article
- Reliability of ultrasound in evaluating the plantar skin and fat pad of the foot in the setting of diabetes.PloS one · 2021Article
- Proposal for a Clinical Analysis of Patellar Tendon Pathologies: In Search of Efficient Therapeutic Indications.Orthopaedic journal of sports medicine · 2020Article
- Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review.Medicina (Kaunas, Lithuania) · 2020Review
- Factors associated with positive outcomes of platelet-rich plasma therapy in Achilles tendinopathy.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn tendon research, using ultrasound (US), studies often refer to tendon thickness, structural abnormalities and neovascularisation. The reliability concerning these measurements and evaluations is seldom reported. The aim of this study was to assess the intra- and inter-observer reliability for quantitative measures (thickness) and qualitative evaluations (structure and neovascularisation) of symptomatic and asymptomatic Achilles and patellar tendons with US and colour Doppler using a modified Öhberg score.
methodsTwenty-eight consecutive patients with symptomatic and asymptomatic Achilles (n = 27) and patellar tendons (n = 26) were included. Tendon anteroposterior thickness was measured. Tendon structure and neovascularisation were evaluated using a modified Öhberg score. US-images were evaluated twice by four independent observers.
resultsMean thickness for Achilles and patellar tendons was 8.4 mm (±2.0) and 5.5 mm (±1.7), respectively. The reliability for measures of distance was high all over (ICC = 0.963-0.999). A moderate-strong correlation was found between observers concerning evaluation of neovascularisation (r = 0.767-0.992) and poor-moderate correlation concerning evaluation of structural changes (r = 0.379-0.837). Intra-observer reliability was moderate strong for evaluations of both tendon structure (k = 0.537-0.873) and neovascularisation (k = 0.639-0.864).
conclusionsWith a strict method for how to measure tendon thickness and set criteria for evaluating structural changes and amount and distribution of neovascularisation, US and colour Doppler is a reliable method for evaluating Achilles and patellar tendons. The modified, 4-graded, Öhberg score was found to be a reproducible instrument for assessment of tendon structure and neovascularisation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.